Individual provider Active NPI

Michaela Lynn Small, APRN

  • Family Nurse Practitioner
  • Humphrey, NE
National Provider Identifier
1265796304
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111369 Issued in NE
Practice address
47452 268TH Ave
Suite C
Humphrey, NE 68642
Phone
(402) 923-0150
Fax
(402) 844-8356
NPI assigned
Jul 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 111369 NE Primary

Addresses

Primary practice location

47452 268TH Ave
Suite C
Humphrey, NE 68642

Mailing address

47452 268TH Ave
Suite C
Humphrey, NE 68642
Phone (402) 923-0150

Other names 1

  • Michaela Lynn Happ Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000483 NE Practitioner - Nurse Practitioner 1153571401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLC 194 clinicians

Practice addresses (Care Compare)

47452 268 Ave
Suite C
Humphrey, NE 68642-5178
Phone (402) 923-0150

Hospital & facility affiliations

  • Faith Health Home Health Home health agency, Norfolk, NE, CCN 287089
  • Faith Health Hospital, Norfolk, NE, CCN 280125
  • Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Medical Center, P.C. CurrentSince Oct 22, 2012 Accepting new patients
Columbus Urgent Care LLC CurrentSince Oct 22, 2012 Accepting new patients

Locations

1454 28th Ave
Columbus, NE 68601
Phone (402) 564-2816

4600 38th St
Columbus, NE 68601
Phone (402) 562-3333

3100 23rd St
Ste T
Columbus, NE 68601
Phone (402) 562-5400

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73377

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1265796304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47452 268TH AVE",
            "address_2": "SUITE C",
            "city": "HUMPHREY",
            "state": "NE",
            "postal_code": "68642",
            "telephone_number": "402-923-0150",
            "fax_number": "402-844-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47452 268TH AVE",
            "address_2": "SUITE C",
            "city": "HUMPHREY",
            "state": "NE",
            "postal_code": "68642",
            "telephone_number": "402-923-0150",
            "fax_number": "402-844-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "MICHAELA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELA",
            "last_name": "HAPP",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humphrey, NE

Sources for this page

Verify at the official NPI Registry.